Active NPI 1598852014 Individual Practitioner Male Practitioner

Dr. Thomas P Vail , MD

Orthopaedic Surgery • Durham, NC

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Vail, MD is a registered healthcare professional specializing in Orthopaedic Surgery in Durham, NC. Practice services are available at 4101 N ROXBORO ST under active NPI credentials.

Frequently performed procedures and clinical services include injection, ropivacaine hydrochloride, 1 mg, established patient outpatient office visit, replacement of knee joint, both sides of knee. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4101 N Roxboro St

Durham, NC 277042121

Telephone 9196848111

Associated Practice Facility / Clinic

🏢 Duke University Health System, Inc. Facility NPI 1821094509

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Durham, NC

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 22.0 Yrs

State Avg: 25.4 Yrs

Regional Practice Density

84 Specialists

Practicing in Durham, NC (1019 Statewide)

Telehealth Adoption Rate

13.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

80.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2795 Injection, ropivacaine hydrochloride, 1 mg	220	19	$2.23	$0.07
99213 Established patient office or other outpatient visit, typically 15 minutes	46	44	$393.00	$75.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	29	$577.00	$109.93
27447 Replacement of knee joint, both sides of knee	24	24	$7984.00	$1518.21
J1040 Injection, methylprednisolone acetate, 80 mg	22	19	$48.96	$11.82
27130 Replacement of thigh bone and hip joint with prosthesis	18	18	$7465.00	$1459.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$575.00	$92.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	91	77	$393.00	$74.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	81	76	$577.00	$110.01
27447 Replacement of knee joint, both sides of knee	53	52	$7984.00	$1480.87
27130 Replacement of thigh bone and hip joint with prosthesis	28	28	$7465.00	$1440.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$575.00	$92.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$867.00	$143.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	81	76	$577.00	$112.42
99213 Established patient office or other outpatient visit, typically 15 minutes	56	53	$393.00	$75.70
27447 Replacement of knee joint, both sides of knee	47	45	$7983.00	$1555.71
27130 Replacement of thigh bone and hip joint with prosthesis	31	31	$7464.00	$1466.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$867.00	$146.65
20610 Aspiration and/or injection of fluid from large joint	13	13	$414.62	$55.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	88	80	$577.00	$89.43
99213 Established patient office or other outpatient visit, typically 15 minutes	56	53	$393.00	$57.95
27130 Replacement of thigh bone and hip joint with prosthesis	40	39	$7246.65	$1591.97
27447 Replacement of knee joint, both sides of knee	38	36	$7319.18	$1689.67
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	31	30	$773.00	$126.48
20610 Aspiration and/or injection of fluid from large joint	24	22	$413.00	$55.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$867.00	$145.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$575.00	$85.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	99	91	$577.00	$86.97
27447 Replacement of knee joint, both sides of knee	53	52	$6974.00	$1605.69
27130 Replacement of thigh bone and hip joint with prosthesis	35	34	$6981.00	$1521.26
99213 Established patient office or other outpatient visit, typically 15 minutes	32	32	$393.00	$58.49
20610 Aspiration and/or injection of fluid from large joint	26	24	$413.00	$53.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$575.00	$85.02
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	14	$773.00	$125.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$867.00	$144.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	108	101	$557.00	$87.14
27447 Replacement of knee joint, both sides of knee	56	55	$7476.29	$1597.83
99213 Established patient office or other outpatient visit, typically 15 minutes	46	45	$365.17	$56.70
27130 Replacement of thigh bone and hip joint with prosthesis	41	40	$7031.05	$1526.53
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	35	34	$735.06	$120.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$547.16	$79.90
20610 Aspiration and/or injection of fluid from large joint	23	21	$413.00	$51.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$833.11	$143.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	131	110	$520.15	$87.90
99213 Established patient office or other outpatient visit, typically 15 minutes	74	73	$354.41	$57.36
27447 Replacement of knee joint, both sides of knee	43	41	$7206.81	$1609.82
27130 Replacement of thigh bone and hip joint with prosthesis	38	38	$6579.26	$1528.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$522.53	$85.28
20610 Aspiration and/or injection of fluid from large joint	15	13	$299.33	$52.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$786.00	$145.38

Medical Specialties & State Licenses

CMS Verified: 2020-03-05

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License CA G71592

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Orthopaedic Surgery

NUCC Taxonomy Code: 207X00000X

State License NC 34485

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

7984601 (NC)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

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Pediatrics - Pediatric Critical Care Medicine

NPI 1003159179

Doctor of Medicine (M.D.)

Dr. Stephen Greene , MD

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NPI 1003170861

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Business Mailing Address March 05, 2020

Registered at 1500 OWENS ST, STE 170, SAN FRANCISCO, CA 941582335 (Tel: 9196848111)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2020

Orthopaedic Surgery (License #G71592 in CA)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 4101 N ROXBORO ST, DURHAM, NC 277042121 (Tel: 9196848111)

📍

Updated Business Mailing Address July 08, 2007

Registered at 4101 N ROXBORO ST, DURHAM, NC 277042121 (Tel: 9196848111)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as THOMAS VAIL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Orthopaedic Surgery (License #34485 in NC)

🟢

Initial NPI Registration & Enumeration October 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1598852014

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 06, 2006

Last Update: March 05, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1500 Owens St, Ste 170

San Francisco, CA 941582335

Phone: 9196848111

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.